Jonathan Parks Fillauer, is a medicare enrolled "Clinical Neuropsychologist" provider in League City, Texas. His current practice location is
112 Magnolia Estates Dr, League City, Texas. You can reach out to his office (for appointments etc.) via phone at
(888) 606-0086.
Jonathan Parks Fillauer is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760911564.
Healthcare Provider's Profile
| Full Name | Jonathan Parks Fillauer |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 112 Magnolia Estates Dr, League City, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760911564
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113380783
- Enrollment ID: I20240704000345
Medical Identifiers
Medical identifiers for Jonathan Parks Fillauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760911564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 40228 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Parks Fillauer allows following entities to bill medicare on his behalf.
| Entity Name | Neurocognitive Specialty Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346700275
PECOS PAC ID: 9133451297
Enrollment ID: O20191023001459 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Parks Fillauer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Parks Fillauer,
112 Magnolia Estates Dr,
League City, TX 77573-4613
Ph: (888) 606-0086 | Jonathan Parks Fillauer,
112 Magnolia Estates Dr,
League City, TX 77573-4613
Ph: (888) 606-0086 |
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